Allosteric modulators of the serotonin (5-HT) 5-HT 2C receptor (5-HT 2C R) present a unique drug design strategy to augment the response to endogenous 5-HT in a site-and event-specific manner with great potential as novel central nervous system probes and therapeutics. To date, PNU-69176E is the only reported selective positive allosteric modulator for the 5-HT 2C R. For the first time, an optimized synthetic route to readily access PNU-69176E (1) and its diastereomer 2 has been established in moderate to good overall yields over 10 steps starting from commercially available picolinic acid. This synthetic approach not only enables a feasible preparation of a sufficient amount of 1 for use as a reference compound for secondary pharmacological studies, but also provides an efficient synthesis of key intermediates to develop novel and simplified 5-HT 2C R allosteric modulators. Compound 1 and its diastereomer 2 were functionally characterized in Chinese hamster ovary (CHO) cells stably transfected with the 5-HT 2C R using an intracellular calcium (Ca i 2+ ) release assay. Compound 1 demonstrated efficacy and potency as an allosteric modulator for the 5-HT 2C R with no intrinsic agonist activity. Compound 1 did not alter 5-HT-evoked Ca i 2+ in CHO cells stably transfected with the highly homologous 5-HT 2A R. In contrast, the diastereomer 2 did not alter 5-HT-evoked Ca i 2+ release in 5-HT 2A R-CHO or 5-HT 2C R-CHO cells or exhibit intrinsic agonist activity.KEYWORDS: PNU-69176E, diastereomer, synthesis, allosteric modulator, 5-HT 2C receptor T he serotonin (5-HT) 2C receptor (5-HT 2C R) is implicated in a diversity of physiological functions, such as nociception, motor behavior, endocrine secretion, thermoregulation, appetite modulation, and the control of exchanges between the central nervous system (CNS) and the cerebrospinal fluid.1 This receptor has also been implicated in numerous psychiatric pathologies, and the modulation of 5-HT 2C R function holds a tremendous amount of therapeutic promise for the treatment of diseases of significant unmet medical need, including addiction, anxiety, depression, obesity/ eating disorders, Parkinson's disease, and schizophrenia.Successful development of 5-HT 2C R ligands requires selectivity versus the highly homologous 5-HT 2A R and 5-HT 2B R, as 5-HT 2A/2B R agonists can result in significant CNS (5-HT 2A R) and cardiovascular (5-HT 2B R) adverse effects.3 Allosteric modulators of 5-HT 2C R present a novel and attractive drug design strategy to augment the response to endogenous 5-HT and to achieve high receptor subtype selectivity and specificity with ligand binding to an allosteric site rather than to the orthosteric binding site that binds the endogenous agonist.